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Schweiger, M; Dave, H; Kelly, J; Hübler, M.
Strategic and operational aspects of a transfusion-free neonatal arterial switch operation.
Interact Cardiovasc Thorac Surg. 2013; 16(6):890-891
Doi: 10.1093/icvts/ivt010
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- Leading authors Med Uni Graz
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Schweiger Martin
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- Abstract:
- Blood transfusion-free complex congenital cardiac surgery in a neonate remains a challenge for multidisciplinary cardiac teams. At our institution, a 3.5 kg neonate, born to a family of Jehovah's Witnesses and postnatally diagnosed with dextro-transposition of the great arteries (d-TGA) and a small muscular ventricular septal defect, underwent a successful arterial switch operation without blood or platelet transfusion. Key points that contributed to success were optimal preoperative haematopoetic conditioning using erythropoietin and iron, a miniaturized cardiopulmonary bypass circuit including a low prime volume oxygenator and crystalloid cardioplegia, and a well-coordinated multidisciplinary team. We report an overview of the literature regarding blood transfusion-free complex congenital cardiac surgery.
- Find related publications in this database (using NLM MeSH Indexing)
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Biological Markers - blood
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Blood Transfusion, Autologous -
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Bloodless Medical and Surgical Procedures - adverse effects
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Cardiac Surgical Procedures - adverse effects
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Cardiopulmonary Bypass -
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Drug Administration Schedule -
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Erythropoietin - administration & dosage
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Health Knowledge, Attitudes, Practice -
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Heart Arrest, Induced -
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Hematinics - administration & dosage
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Hematocrit -
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Hemoglobins - metabolism
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Humans -
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Infant, Newborn -
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Iron - administration & dosage
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Jehovah's Witnesses - psychology
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Male -
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Operative Blood Salvage -
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Religion and Medicine -
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Time Factors -
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Transposition of Great Vessels - diagnosis
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Treatment Outcome -
- Find related publications in this database (Keywords)
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Congenital cardiac surgery
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Arterial switch operation
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Jehovah's Witness
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Blood transfusion-free